Andrea Matli Scoville, DDS in Watonga, OK - Medicare Dentist Provider

Andrea Matli Scoville, DDS is a medicare enrolled "Dentist" provider in Watonga, Oklahoma. Her current practice location is 601 W 2nd Street, Watonga, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 623-7121.

Andrea Matli Scoville is licensed to practice in Oklahoma (license number 4530) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215150693.

Contact Information

	Andrea Matli Scoville, DDS
	601 W 2nd Street, Watonga, OK 73772-2601
	(580) 623-7121
	(580) 623-7124

Map and Direction

Healthcare Provider's Profile

Full Name	Andrea Matli Scoville
Gender	Female
Speciality	Dentist
Location	601 W 2nd Street, Watonga, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215150693
Provider Enumeration Date: 04/11/2007
Last Update Date: 08/24/2016

Medicare PECOS Information:

PECOS PAC ID: 2062708142
Enrollment ID: I20160916000214

Medical Identifiers

Medical identifiers for Andrea Matli Scoville such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215150693	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	4530 (Oklahoma)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Andrea Matli Scoville allows following entities to bill medicare on her behalf.

Entity Name	Andrea Matli Scoville Dds Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881991032 PECOS PAC ID: 7517253685 Enrollment ID: O20160916000109

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrea Matli Scoville is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Andrea Matli Scoville, DDS 601 W 2nd Street, Watonga, OK 73772-2601 Ph: (580) 623-7121	Andrea Matli Scoville, DDS 601 W 2nd Street, Watonga, OK 73772-2601 Ph: (580) 623-7121

Reviews and Comments

Dentist in Watonga, OK

Dr. Robert Duane Edsall, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 205 N Noble Ave, Watonga, OK 73772 Phone: 580-623-7752 Fax: 580-623-5020
Ms. Flauryse M Baguidy, DMD Dentist Medicare: Medicare Enrolled Practice Location: Rr 1 Hwy 281 South, Usphs Ihs Watonga Health Center, Watonga, OK 73772 Phone: 580-623-4994 Fax: 580-623-5490
Dr. Steven Brock Miller, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 321 N Clarence Nash Blvd, Watonga, OK 73772 Phone: 580-623-7397

Andrea Matli Scoville, DDS - Medicare Dentist in Watonga, OK